The original English version is performed in seven steps, which may change in some countries dependent on education and culture.

Multiple cultural and linguistic variables may affect the norms of the MoCA across different countries and languages, e.g.

Researchers have developed an adapted version of the MoCA test, which is accurate and reliable and avoids the need for people to listen and respond to questions.

[9][10] The National Institutes of Health and the Canadian Stroke Network recommended selected subsets of the MoCA for the detection of vascular cognitive impairment.

[13] In addition to a growing amount of international normative data, the Memory Index Score (MIS), which is included in the most recent test versions, is gaining increasing diagnostic importance.

Nikki Haley campaigned for the Republican presidential nomination partially on a platform plank that would have required all politicians aged 75 or older take the MoCA.

Trump's repeated use of the phrase "Person, woman, man, camera, TV" while describing the test became an Internet meme and went viral on social media platforms.